A 49-year-old man with a known murmur was worked up after a syncopal episode and found to have hi-grade aortic stenosis. He was taken to the operating room for aortic valve replacement.
A Swan-Ganz catheter was placed via the right internal jugular vein using an anterior approach. A trans-esophageal echo (TEE) probe was placed. The entire torso was prepped including the right groin in case access to the femoral vessels became necessary.
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